Navegando por Assunto "Leptospirose humana"

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Acesso aberto (Open Access)
O comportameno clínico-cardiológico, eletrocardiográfico e radiológico do tórax de pacientes com leptospirose internados no Hospital Universitário João de Barros Barreto, no período de 2002-2003, Belém-Pará
(Universidade Federal do Pará, 2004-02-17) SOUZA, Paulo Fernando Pimenta de; COSTA, Eduardo Augusto da Silva; http://lattes.cnpq.br/8367972950545772
Leptospirosis has presented a high prevalence in our region. It is an infectious, multisystem disease which affects various organs and frequently strikes the heart, actually being one of the main causes of death among its carriers. The objective of such paper was to evaluate the behaviour clinical-cardiologic, eletrocardiographic and thorax radiologic findings of patients with clinical-epidemiological diagnosis of leptospirosis in its acute phase, in a hospital place. For this reason, it was performed a transversal study with 41 patients - six females and 35 males - ages 15 to 78, admitted at Hospital Universitário João de Barros Barreto, during the period of february, 2002 to june, 2003. The participants of such study have been submitted to anamnesis and clinical examination, with emphasis on the cardio-vascular system and have performed one to three eletrocardiograms, one thorax radiography and laboratory routine examinations. When the clinical findings were analysed, 37 (90,2%) presented signs and symptoms compatible to the myocardium involvement. The eletrocardiographic abnormalities occurred in 20 cases, corresponding to 48.7% of the total. The average levei of potassium was 3.8 meq/l. Most alterations were reversible and the main one corresponded to a super-unleveling of the ST segment, without statistical significant difference (p > 0,05) between them. As for the 37 individual who presented symptoms and signs suggesting a cardiac involvement, there was no significant statistical difference (p > 0,05) among the normal and altered eletrocardiograms. In only eigth individuals there were radiologic abnormalities (19.5%), being the slight growth of the left ventriculum with lung interticial infiltrate in its basis was the main finding, with significant statistical difference (p < 0,05) among other kinds of lung infiltration. Hence, in this paper, the principal clinical findings were: hepatomegalia and dispnea; eletrocardiographics: super-unleveling of the ST segment and sinusal taquicardia with reversion in most cases and; radiologics: discreet left ventriculum growth with lung infiltration in its basis.
Acesso aberto (Open Access)
Distribuição espaço-temporal da leptospirose e fatores de risco em Belém, Pará, Brasil
(Universidade Federal do Pará, 2016-12) GONÇALVES, Nelson Veiga; ARAUJO, Ediane Nunes de; SOUSA JÚNIOR, Alcinês da Silva; PEREIRA, Waltair Maria Martins; MIRANDA, Claudia do Socorro Carvalho; CAMPOS, Pedro Silvestre da Silvia; MATOS, Mauro Wendel de Souza; PALÁCIOS, Vera Regina da Cunha Menezes
The occurrence of leptospirosis has defied epidemiology even when using different analysis technologies at local geographical levels. This cross-sectional and descriptive study sought to identify spatial correlations between social and environmental risk factors and leptospirosis in Belém in the State of Pará from 2007 to 2013. Epidemiological data were obtained from the Information System for Notifiable Diseases of the Pará State Department of Public Health and the environmental, demographic and cartographical data from the Brazilian Institute of Geography and Statistics. Men aged 20 to 39 of unknown profession and mixed ethnicity were the most affected. Laboratory diagnosis (82%) and hospital care (67.22%) confirmed satisfactory access to the Unified Health System. Numerical Kriging indicated the highest concentrations of the disease in the Guamá and Jurunas neighborhoods in lower lying areas near canals. The Buffer technique showed higher concentrations of the disease in areas with no domestic solid garbage collection service (26%), sewage (22%), piped water (38%), with unpaved roads (20%) and street flooding (65%). The Moran technique revealed a direct spatial correlation between these variables (p = 0.01543). The general trend showed the decrease of the disease.
Acesso aberto (Open Access)
Perfil do marcador bioquímico de lesão miocárdica creatinoquinase-MB (CK-MB) em pacientes com leptospirose atendidos na cidade de Belém-Pa
(Universidade Federal do Pará, 2003-12-16) MAGNO, Ismaelino Mauro Nunes; COSTA, Eduardo Augusto da Silva; http://lattes.cnpq.br/8367972950545772
It was examined the behaviour of enzyme creatine kinase-MB in patients with leptospirosis inside University João Barros Barreto Hospital in Belém, in the State of Pará on the period of January 2002 to July 2003 through a study on which were characterized the clinics symptoms and the profile of biochemical mark biochemical of myocardial injury. It was determined serum profiles of creatine kinase-MB; creatinine kinase, urea, creatinina, potassium, aspartataminetransferase and alanineaminetranferase related with the clinics symptoms of the cardiac muscles inflammable process. The results show that in spite of the great part of the patient be symptomatic, only 12,76% show elevation serum from creatine kinase-MB. So, the referred biochemical mark can't be used as indicator of the human miocardic in the leptospirosis.